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目的:探讨宫腔镜在取出“困难IUD”中的应用及临床疗效。方法:选择取环失败病例42例,采用宫腔镜检查明确IUD在宫内情况,选择合适部位套以丝线作为着力点辅助取环;与同时期传统方法取环50例作比较。结果:42例患者中4 l例取环成功,一次手术成功率为97.61%。平均手术时间4′21,″术中同时检出其他异常25例。对照组50例中取器成功34例,16例失败,一次手术成功率为68.00%(P<0.01),平均手术时间9′18″(P<0.01)。结论:宫腔镜下套线法取出“困难IUD”操作简单,手术直观,手术时间短,能有效避免盲目取环术的副损伤。
Objective: To explore the application and clinical efficacy of hysteroscopy in removal of “difficult IUD”. Methods: Forty-two patients who failed to take the ring were selected. The intrauterine situation of IUD was determined by hysteroscopy. The appropriate part was set with the silk thread as the focus to assist the fetching of the ring. Compared with the traditional method of taking the ring in the same period of 50 cases. Results: Among the 42 patients, 4 l were successful in taking the ring, and the success rate of one operation was 97.61%. The mean operative time was 4’21, “Among the other 25 cases, other cases were detected during the operation. In the control group, 34 cases succeeded in taking the extractor and 16 cases failed. The success rate of the first operation was 68.00% (P <0.01), and the average operation time was 9 ’18 ”(P <0.01). Conclusions: Hysteroscopic removal of “difficult IUD” is easy to operate, intuitive in operation and short in operation time, which can effectively avoid blind injury.